Pre-Session
Questionnaire

1. First Name*
Last Name*
2. Email*
3. Phone*
4. What has been happening since our last session? Be specific.*
5. Describe the process of practicing/attempting/completing any and all assignments since our last session.*
6. Did you find the process easy, moderate or difficult? Why?*
7. What new issues OR awareness have come to light this week?*
8. What has your mindset been since our last call?*
9. What would you like to focus on for our next session?*
10. On a scale of 1-10, rate your current level of fulfillment.*
(Ten is the highest level of fulfillment)